Ma mua o ka hana endometritis ma bipi?

Endometritis - li nui, i hoike mai ai ia ia iho i loko o ka naʻau o ke uterus. Mai ka viewpoint o ka bipi wahine'ōnaehana, ka uterus mea he loa ikepili koʻikoʻi kino, a hiki pinepine maopopo li nui keʻano o ka hanaʻana. Eia naʻe, hiki ke kapa ole no ka kela mea keia mea endometritis. Aia i na ia a pau o ka mai, kena ae la ma ka li nui o ka makuahine, akā, na wahi e ae o ia. Keia kaawale He conditional, akā, ma ka hihia o ka abandonment o ka maʻi ia iho, ka mea hiki ke kahe i loko o miotetrit, a hou mai i ke anapuni. Loa pinepine nō endometritis divisible ma ka maʻi a me ka huʻi, hoikeia mai ma hope o ka bipi keiki bipi. Mau mea ikeia me postpartum endometritis.

Ma keia pepa, he piha nana i ka bipi endometritis.

Ke kumu no ka hoike ana o ka endometritis

I ka papa kuhikuhiE pilikiaʻalo ma ka reproductive nā loko o ka bipi - ia Ka noho ka maʻiʻaʻai i ke kumu no li nui. I ka hope ke komo i loko o ka uterus o ka holoholona iloko o ka pii aku li nui (vaginitis, vestibulitis) a obstetric malama. Pinepine, e like me ka koʻohune komo iloko i hāpai keiki, ma ka 5 mahina i ka hapa liquefaction o ka mucus polokalamu a me ka wela.

Endometritis i ka bipi e hoʻomōhala like me ka haumāna maʻi i loko o tuberculosis, brucellosis, a ma hope o ke kali hou aku; o ka placenta.

A mea nui wahi, a me kekahi manawaʻano nui, i loko o ka ulu o ka endometritis mea he ninau o ke mālama, e ai ana a me ka hale noho o nā holoholona. Loa pinepine endometritis kumu opportunistic germs i ho'āʻo luku hana wale nō ka wā o ka bipi wahine paka ua e kū'ē'ē mai. Makaʻu e hoʻonui ai i ka hoike ana o ka endometritis:

• Pinepine i ka maʻi ua triggered ma ka hoʻoʻino kaʻina e hoʻomaka ma ka cervix a vagina.
• Ma hāpai keiki, ua loohia oia e kekahi mea maʻiʻaʻai (chlamydiosis, brucellosis, etc.) i ka holoholona. Initially, ka ulu keiki, e kahe ana i loko o huʻi postpartum endometritis i ka bipi.
• Paakiki ka nahunahu hanau hiki poino endometrium, i alakai aku ai i kona maʻiʻaʻai. I kekahi manawa, ka hanana a mahope 'ole, hahana, a uterine prolapse.
• Ka hali 'bipi abortion, e kauoha ana i ka maʻiʻaʻai.
• Inā ka halepapaa unsanitary keia, e like me veterinarians hoʻohana unsterile mau mea i loko o ka nahunahu hanau, e hoopoina, e holoi i ko lakou lima, a i ole mālama 'ē aʻe kou niho koi, ka mea hiki i li nui. aeoaeuneiai hana ka loa pinepine hiki aku ai i ka maʻi: apuupuu hana, inept kaawale ana o ke keiki, kūpono lāʻau kū-Natal lapaʻau, nele o antimicrobial prophylaxis.

Lapaʻau kiʻi a me ka lapaʻau '

Pehea e holo ai i ka bipi endometritis? Holoholona hiki ke iho mailoko o ma kekahi mau ano o ka maʻi, i ka differentiation o i mea nui a elua ma ka hua'ōlelo o ka etymology, a no ka hoolako pono mālama '.

Purulent-catarrhal huʻi ano

Ka loa, he pono ole i ka holoholona no ka maʻi, i ka pu ma ke kaumaha, poho o ka productivity a me ka ikaika loa ka makemake, haʻahaʻa-kaha kuni. Pinepine, i ka maʻi akaka ma hope o ka bipi ka dia, a hoike ia i ia wā, kuu ae catarrhal exudate me impurities o ka pus keʻokeʻo-uliuli kala like 'ole o ka mea mawaho genitalia ma puddles uuku o ka pus i loko o ke kakahiaka.

Kēia purulent-catarrhal endometritis i ka bipi. I ka moolelo o ka maʻi i e okoa.

• Me ka hiki fluctuation exuding iʻike.
• Tenesmus, anuenue hoʻi i nā holoholona i loko o nā kaʻina hana o ka urination.
• Hoemiia leo, ilihune pane i ka lomilomi.
• Ma hookolokolo, i mäliko cervical Canal.
• No loli i loko o ka lanai.
• 'Ike hoomahuahua i na pepeiaohao o ke uterus rectal palpation.

Inā he 'eleu kūpono, e hoʻoikaika i ka olelo o ka hoʻopaʻahao, a me ka lapaau ana i ka holoholona, i ka maʻi, e i ka maikaʻi result. Loa pinepine ka mea, ua laweʻia no ka regression o ka uterus, mahuahua ka hooulu ana o ka pathology, a alakai i complications.

He aha hou aʻe hiki e endometritis i ka bipi?

fibrinous aat

E kū'ē i ka backdrop o ka noho uterine ino fibrinous li nui e hoʻomōhala ai. Loa pinepine ka mea, hoike mai ai ia ia iho, ma hope o kōkua i akamai hanau kahu. Effusion o fibrin ia lŘlŘ ma hope me mechanical poino o mucous a me nā papa o ka reproductive nā loko.

Lapaʻau likeʻole waiho i loko o ke 'ano o ka loli, kahi o ka fibrin kaula makalii ma ka nanaia mai. Hiki hoomaopopo, anaanai iho pus ma waena o ka manamana o ke ano crisp kani. Pinepine e hoailona oukou vaginal loli ma ke ano o ka mucosa eha. A i ka pau Mea Maluna o ka endometritis i ka bipi.

Gangrenous a necrotic ano

He ua i ka hoike ana o ka maʻi ua manaoia e e loa loa, wehewehe aku ma ka mea ana i nā bipi i nui deteriorated: ka productivity ua a loa hoemiia; deteriorating ikaika loa ka makemake; he mea pinepine, lepo hanu; i ka mehana ma luna o 41 degere; e hoola ae i ka lāʻau ikiʻai wale; Eia kahi mea akaka zalezhivanie a me ka hoʻoluhi hewa wale.

akaka, nui nā loli ana i loko o ka reproductive nā loko. I ka hoike o pathogenic meaola, pinepine anaerobic a me ka poino alakai i ka disintegration o ka epithelium a me kona hp'pnphp papa. Fibrin infiltrates ka puni'aʻaʻa, a me ka mea, ai hanaʻia naʻe. Rectal lapaʻau 'kōkua e kuhikuhi i hanaʻia naʻe o ka uterine pa, eha i palpation a me doughy, anuanu hionapāʻili.

Cheesy exudate he pus, koko, apana o'aʻaʻa, nāna i hāpai i disintegration, pasty nuipa a. Wahine ka wā nānā akula au i ka pehu, a i lonikū ulaula kaula. Ka holoholona Ua nui a mahuahua nui kūloko ana wela. Iapaau ana o ka maʻi i loko o endometritis bipi noonoo no hoi ia.

maʻi aat

Kūpono 'inikua' uao i i ke kūpono 'ana o ka huʻi ano o ka maʻi maʻi. Ua Ua wehewehe aku ma mall loli, i ka hakahaka o ka mall'aʻaʻa epithelium, glands atrophy a ho okumu ana o cysts maloko.

Maʻi catarrhal-purulent endometritis i ka bipi maopopo ole clinically:

• Ma ka lymph aka wahi i loko o ka vagina ia ka moana pāhili.
• Ma hope o ka po, bipi wahine, e moe ana maʻamau paka kekahi exudation aniani moakaka waihoʻoluʻu.
• Mawaho wahine iki pehu.

E möakäka hou i kaʻike, ua ana hana i ka rectal ninaninau. Ua hōʻikeʻAʻole ikaika mahuahua ma ka uterine pelu a me ka hanaʻia naʻe o nā paia o ka uterus. Maoli i ke kino ke kaumaha o ka holoholona, a me ka antlers kino ke kau a me ka pubic iwi. i ia Vaginal Eia kekahi laʻana me ka puna. Ka mea, e hōʻike i ka hoomahuahua i keʻokeʻo aeee ke koko a me ka make ili keena.

hūnāʻia i loko o

Kēia palapala o ka endometritis mea maʻi me kekahi lapaʻau hoike ana. Pinepine ka mea, ua loaʻa i loko o kāna hana o nā kahua o ka hoʻonaʻauao o ka excitation, a ma kahi e hoʻomāhuahua ai insemination mea hana ma ka pili me ka pathogenic microflora a me ka ole i ke kahua o kaʻawahia neoneo huahana. Palapala endometritis i ka bipi a me mastitis kokoke loa.

No ka meaʻike, o vaginal swab ia a lawe mai i ka histological ninaninau o ka biopsy uterine epithelium. Haukaʻe i hōʻike maʻi endometritis a me ka histology - huhui waina a lākou o keena o ka lymphoid puke a me ka degenerative kāna hana.

He aha ka ka iapaau ana o ka maʻi i loko o endometritis bipi?

pākōlea malama

E hoʻomaka ana lapaʻau o endometritis ma bipi - o ka wehe 'ana o ka uterus. I ka ua hoemiia exudation kaawale kona deleterious 'ole, iaono? Ienoai ka hana o kūloko laau. Kahi o ka wahine'āpana ua wehe 'ia e ekolu ke ano o na dala: lomilomi, uterine lavage, stimulation o contractile kuleana pili i.

holoi ana

Holoiʻia ia me ka mākaʻi ma endometritis sterile a me ka 'ole-corrosive antiseptic Luna: koʻana koko pāʻoihana o potasiuma permanganate, 0,02% iodine a me ka furatsilina; 3% pāʻoihana ihtiola; 2-3% paʻakai hydrogen kalepona; hypertonic ka paʻakai pāʻoihana (hoʻoikaika 'kaawale ana i ka maʻiʻo ka hōʻoi' secretion o ka endometrium).

Ua injected Janet, Mug Esmorha. e lalana ana ka mua hoomakaukau i ke kino mahana. Nā pāʻoihana Ua lawelawe i loko o ka dala nui, a me ka mea ulu ma ka buke hilinaʻi nui ma luna o ka oolea o ke kaʻina.

hoomakaukau

Ke Kula Kaiapuni 'ai' he hoʻonui i ka leo o ka uterus a me kona papa contractile: 20-40 ML PDE subcutaneously, 20-30 U "Oxytocin", i 1 ml o "carbachol". Mau ai 'ka lawelaweia ana i ka ia manawa me ka holoi ana, i ka poʻea pau i oi kokololio ke piʻoloke o exudates.

Alternation o kūloko aaieieno? O ai 'a me ka hoʻohana' ana o stimulants no ka myometrium mea loa nui.

Rectal lomilomi paipai 'ana i ke kaawale ana o ka uterus pus a me ka hōʻoi' kona contractile kuleana pili i. Ka lomilomi hoomaka mai ka hoʻokomo o ka lima ma ka lima me ka ea like i loko o ka rectal ninaninau, a ma hope o ka loaʻa o ke kino o ka uterus hoʻomaka hana lonikū hahau ana. Ma ka hooko ana mai keia lomilomi mea he mechanical e kaawale ana o ka maʻiʻo a me stimulation o ka reproductive nā loko. Ke Kaʻina Hana koho 'ē aʻe me ka noho haumāna kahi injections, no kā lākou i ka wā hoʻokahi ana, i ka maikai a me ka overdose "Oxytocin", ke alakai i ka poho. A lapaau subclinical endometritis i ka bipi.

kekahi Inc

Local lapaʻau ua hoʻohana 'ia e uhi i ka microflora ma ka pōkole i loko o ka uterus o ka wai a me ka paa ano sulphonamides, antiseptics a me antibiotics:

• "Ihglyukovita" ihtiola oily kanakaʻona mau pāʻoihana;
• "Tilozinokara" intrauterine noniakahi hoʻi ma luna o ke kumu o ka antibiotic;
• papa "Ginobiotika";
• "Biometrosanita" o ka papa no ka uterine hooponopono i OAOOUIEeE ka hua nui ō kā lākou hana;
• furazolidonovye laau;
• ihtiolovye laau.

Ma waho aʻeo ia i nā huahana, e hiki puni waiwai me ka mau papa o antibiotics. Ua hoʻohana 'ia ke kaumaha ma muli o ka moku'āina ma i ka holoholona, a hoʻokau' ana ma o ka hoʻohanaʻana i huahana (loaa ma kaʻai a me ka waiu). Good hualoaʻa hiki ke loaʻa ma ka pepa antibiotics i ka novocaine blockade.

Oi loa aku hoi ka iapaau ana o kekahi mau ano o ka endometritis

Ke infusion o antiseptic wai a me ka hoʻohana 'ana o rectal lomilomi hookapuia ka wā necrotic paha gangrenous li nui o ka mucousʻili lahilahi o ka uterus. I na ano o ka maʻi i wehewehe aku ma ka palena haʻahaʻa secretion a keu ae hookaawale e i nā fractures o ka endometrium. He mea pono e paa i kekahi mau Anati-ʻawahia lapaʻau, 'o ia hoʻi, infusion o intravenous Ringer-Ua laka, kalipuna gluconate, "gemodez", 5% monakō koko a me ka Saline. No hoi i hoakaka ia antibiotics hui me ka novocaine blockade.

Inā ka maʻi ua hala i loko o ka maʻi ke kahua, lapaʻau mea i mau pono no ka mea, o ka mea luku keʻano o ka hanaʻana. I hoʻopau o ka endometrium li nui kaʻina hana e nō e'ōnaehana paleʻea i ka embryo.

A ua hana ia ma ke ao o kauka holoholona lapaau. Endometritis i ka bipi (lapaʻau mākou nānā ') loa he pilikia maʻi.

Kāohi

Ka pilikia o ka hana maikaʻiʻole o ka endometritis bipi i loa huikau a me ka pinepine pipiʻi. Eia hou, i ka hana ana o na mea he nui ai 'hiki aku ai i ka mea i ka hoʻomanawanui inu waiū i ka bipi a me kaʻai i kona ai ua contraindicated no ka lōʻihi manawa, mai ka lāʻau accumulates ma na nā'aʻaʻa a me nā loko o ka holoholona. Ia mea ke kumu o ka oi pāʻoihana mea Kāohi hana e hoʻonui ai i ka Kāohiʻana o ka postpartum endometritis. Pehea e pale aku i ka maʻi?

E hoonohonoho ka nahunahu hanau. E hana i kēia, e pono e kū i ka hānau kaʻina hana, e hoomakaukau i ka pa a me ka lako a pan. Oia Kāohi mea e pono ai no kela a me keia hale, a me ka hapai bipi e e hoʻoili wale nō ma ka hoao ana i ka hoʻomalu. It E e hoʻolako pono me kekahi nōhie pahu kahi e mālama '-hoololi holoholona. Prior i waiho i ka holoholona i loko o nā wahi e kū ai, a hanai ia pono e disinfected, a ma hope o ka maloʻoʻana a me ka aaioee powehiwehi palaoa maloʻo a me ka maemae ka mauu maloo a me ka sawdust.

Hoonohonoho hele holoholona. Ma hopeʻelua aʻekolu lā ma hope o ka hanau ana o ka bipi keiki bipi e hele, ma laila e e he Kāohi maikai o ka maʻi. About hapai bipi, hoi, mai hoopoina, ka mea i pono ai i ka hele ma mua haawi. Ka Wailele O pono no ka Kāohiʻana o ka postpartum maʻi, a me ka hanau ana lakou ia lakou iho.

Prophylaxis o calving bipi. Special hoomakaukau ia mea pono, e lawelawe i nā holoholona i loko o ka mua kia-partum lā. Nui noonoo e ae ia ma hope o ka pilikia hānau paha ka mālama o ka placenta.

I ka wā maloo e e hāʻawiʻia nā wikamina e ālai 'illnesses ma hope o calving. Pono e pono 'O ke kaulike, a hānai i nā holoholona.

Ma keia 'atikala mākou hookolokolo aku la ia i loko o au mamuli o ka pathogenesis o endometritis i ka bipi.